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1205914314
SUSAN JACKSON
SEATTLE, WA
NPI
1205914314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004068)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- SUSAN JACKSON PA-C
1629 N 45TH ST
SEATTLE, WA 98103-6701
Phone number: 206-633-3350
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Mailing Address
-- SUSAN JACKSON PA-C
905 SPRUCE ST STE. 300
SEATTLE, WA 98104-2474
Phone number: 206-461-6935
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